SERUM LACTATE DEHYDROGENASE LEVELS IN GASTROINTESTINAL TRACT CARCINOMA PATIENTS BEFORE AND AFTER SURGERY

2016-02-29T03-14-14Z
Source: International Journal of Current Research and Review
V. Bhagyalakshmi, N. Sundara Veena, C. H. Ratna Kumar, G. V. Benerji, M. Jaiprakash Babu.
Background and Objectives: To study the role of Serum Lactate Dehydrogenase (LDH) as a diagnostic parameter in gastrointestinal tract (GIT) carcinoma patients. To compare the level of serum Lactate Dehydrogenase in metastatic and non metastatic Gastrointestinal tract carcinoma patients. To evaluate preoperative and post operative serum Lactate Dehydrogenase level in Gastrointestinal tract carcinoma patients. Materials and Methods: Studied 20 patients of Gastrointestinal tract carcinoma admitted in surgical ward were selected for study group. Out of 20 patients, 15 patients were Gastrointestinal tract carcinoma without metastasis. 5 patients were Gastrointestinal tract carcinoma with metastasis. 20 healthy individuals were included in the control group. The correlation of serum Lactate Dehydrogenase levels in pre operative and post operative Gastrointestinal tract carcinoma patients were studied. Results: Serum Lactate Dehydrogenase levels were elevated in pre operative GIT carcinoma patients with and without metastasis. Serum Lactate Dehydrogenase levels were decreased in post operative patients of Gastrointestinal tract carcinoma without metastasis but elevated in postoperative patients with metastasis. Conclusion: The study showed serum Lactate Dehydrogenase as an independent diagnostic and prognostic bio marker.


from Scope via xlomafota13 on Inoreader http://ift.tt/1Thb61g
via IFTTT

ASSESSMENT OF KNOWLEDGE ON REPRODUCTIVE HEALTH AMONG THE WOMEN

2016-02-29T03-14-14Z
Source: International Journal of Current Research and Review
Kumari M. J..
Introduction: The aim of study was to assess the level of knowledge on reproductive health among the women at Puducherry and find out relationship between the knowledge on reproductive health and the selected clinical variables of women. Material and Methods: A descriptive cross-sectional research design was adapted to assess the level of knowledge on reproductive health among the women in multi-specialty Hospital, Puducherry. Consecutive sampling technique was used to select 500 women who were fulfilling the inclusion criteria. The data collection was done in regional language (Tamil) by face to face interview method through using structured interview schedule. Results: The study findings revealed that the level of knowledge on reproductive health among the 500 women, 220(44%) had inadequate knowledge, 253 (50.6%) women had moderately adequate knowledge and only 27 (5.4%) women had adequate knowledge. The mean value of knowledge regarding reproductive health among the women was 6.8 with the standard deviation of 2.4. There was statistically significant relationship found between the knowledge and history of reproductive health problems, family history of reproductive illness and use of family planning methods among the women. Conclusion: The study concluded that out of 500 women, only 27 had adequate knowledge on reproductive health. It shows that they want to improve their knowledge on reproductive health to prevent reproductive disease and promote their health. The health care providers have to take right steps promptly to reduce mortality and morbidity of the women..


from Scope via xlomafota13 on Inoreader http://ift.tt/1QnDcBP
via IFTTT

A COMPARATIVE STUDY OF CLONIDINE VERSUS TRAMADOL AS ADDITIVE TO BUPIVACAINE IN EPIDURAL ANAESTHESIA

2016-02-29T03-14-14Z
Source: International Journal of Current Research and Review
Mahesh Sutariya, Anand J. Amin, Miss Archana B. Behl.
Introduction: Pain is unpleasant sensory-emotional experience and one of the most feared symptoms experienced. Epidural anesthesia is safe, well practiced and inexpensive neuraxial block technique. Bupivacaine is commonly used for epidural anaesthesia. Researches have been conducted to identify different techniques and drugs that improve the quality of surgical anaesthesia, prolong the effect of bupivacaine and duration of postoperative analgesia. Objectives: To evaluate efficacy of epidural tramadol and clonidine used as adjuvant to bupivacaine. To compare onset and duration of sensory and motor blockade, quality of anaesthesia and duration of postoperative analgesia. Methods: A prospective, randomized placebo control study was undertaken, involving 90 patients from SMIMER hospital, Surat. Three groups were allotted 30 patients each and were given, bupivacaine+saline (Group A)/ Bupivacaine+tramadol (Group B)/ bupivacaine+clonidine (Group C). Results were recorded and analyzed. Results: The onset of sensory block was fastest in Group C. Total duration of sensory blockade was longest in Group B. Total duration of analgesia was longest in Group B, followed by Group C based upon Visual Analogue Scale. Both tramadol (Group B) and clonidine (Group C) prolong duration of analgesia and decrease requirement of post-operative analgesic doses and amongst them tramadol (Group B) is superior. Conclusion: Tramadol and clonidine both are used as adjuvant to bupivacaine for epidural anaesthesia and post-operative analgesia. Tramadol provides longer duration of post-operative analgesia without sedation and requirement of analgesic is less within 24 hours. Tramadol is useful because of its cost effectiveness and easy availability.


from Scope via xlomafota13 on Inoreader http://ift.tt/1Thb35R
via IFTTT

EMERGENCY PERIPARTUM HYSTERECTOMY: INCIDENCE, INDICATIONS AND FETOMATERNAL OUTCOME IN A TERTIARY CARE HOSPITAL

2016-02-28T23-03-01Z
Source: International Journal of Current Research and Review
Saima Wani, Perveena Fareed, Yasmeena Gull, Neha Mahajan.
Objectives: The objectives of this study were to determine the incidence, maternal characteristics, indications and the maternal and perinatal outcome of emergency peripartum hysterectomies done in the Department of Obstetrics and Gynecology Government Medical College Srinagar. Study Design: This was a retrospective descriptive study done from January 2011-December 2013 over a three year period. Results: The incidence of peripartum hysterectomy during the study period was 1.46/1000 deliveries. The frequent age group was 31-35 years. The main indication of peripartum hysterectomy was life threatening hemorrhage due to uterine rupture (23), uterine atony (22), placenta accrete (18), placental abruption (16), placenta previa (13), broad ligament hematoma (7), retained placenta, Secondary postpartum hemorrhage and uterine fibroid (1 each) 81.37% hysterectomies were total and 16.63% were subtotal. The average pre- and intraoperative blood loss was 2.5 Lt +0.6. All patients needed blood transfusion. All patients received Perioperative antibiotics. Intraoperative complications developed in 15 patients which were bladder injury (5), Adnexial bleeding (5) and broad ligament hematoma (4). 69.6% patients needed intensive care. The common post operative complications were febrile morbidity (15.68%), wound sepsis (10.78%), pneumonia (8.82%), coagulopathy (5.88%), Cuff cellulitis and vesicovaginal fistula (1.96% each). The stillbirth rate was 303/1000. Most stillbirths occurred in uterine rupture (61.29%) followed by placental abruption (25.80%). Maternal mortality rate was 117/1000 live births. The average hospital stay was 13+4days. Conclusion: Emergency peripartum hysterectomy has significant effect on fetomaternal morbidity and mortality. Hence antenatal identification of high risk patients and proper management of second and third stage of labor and emergency preparedness are important in decreasing the rate of peripartum hysterectomy and improving the outcome.


from Scope via xlomafota13 on Inoreader http://ift.tt/1nahpFn
via IFTTT

EVALUATION OF COLOR AND LIGHTING PREFERENCES IN ARCHITECTS’ OFFICES FOR ENHANCING PRODUCTIVITY

2016-02-28T23-03-01Z
Source: International Journal of Current Research and Review
Zahra Poursafar, Nandineni Rama Devi, Lewlyn L. R. Rodrigues.
Background: Knowledge of design basics is key to the successful planning and implementation of any interior design project. The elements and principles of design represent general, universal ideas that refer to every aspect of design. Aim: This paper is focusing on occupants Preferences regarding to Color and Lighting in the Architects offices in Iran and India to increase the level of personalization in work environment and improving the Productivity. The outcome of this research would establish the link between architectural elements and Productivity. Moreover, the study would give clear indicators for the future architects to have a base for understanding the requirements and produce architectural components to suit to their specific requirements. Methodology: The data was primarily sourced through a self-administered survey questionnaire using random sampling method on representative sampling basis. Result: The finding of the study indicated that for employees in offices there are wide variety of Preferences in case of Color and Lighting. Also the outcome reveals employees Productivity in architects offices is affected by architectural elements. Conclusion: There are different Preferences regarding Colour and Lighting for employees in architects offices under the study. This difference would depend on distinction among behavioural, attitudinal and emotional pattern of the individuals. The result is based on the users subjective impression and personal Preferences in case of Colour and Lighting.


from Scope via xlomafota13 on Inoreader http://ift.tt/1UtsXRG
via IFTTT

Copyright

Publication date: March 2016
Source:Anesthesiology Clinics, Volume 34, Issue 1





from Anaesthesiology via xlomafota13 on Inoreader http://ift.tt/1RyLx8s
via IFTTT

Contributors

Publication date: March 2016
Source:Anesthesiology Clinics, Volume 34, Issue 1





from Anaesthesiology via xlomafota13 on Inoreader http://ift.tt/24wfVqY
via IFTTT